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THIS BROCHURE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT <br />INTENDED TO BE A SUBSTITUTE FOR A COMPLETE ON -SITE SAFETY INSPECTION <br />CONDUCTED BY A QUALIFIED RISK ENGINEERING SPECIALIST. READERS ARE <br />ENCOURAGED TO HAVE SUCH AN INSPECTION CONDUCTED BOTH TO PROMOTE <br />WORKPLACE SAFETY AND TO COMPLY WITH APPLICABLE LAW. <br />FOR ADDITIONAL INFORMATION OR ASSISTANCE, EITHER TELEPHONE OR MAIL <br />THIS FORM TO YOUR HARTFORD AGENT OR NEAREST OFFICE OF THE HARTFORD <br />NOTICE TO ARKANSAS POLICYHOLDERS <br />The Hartford is required by law to provide its policyholders with certain accident prevention services at <br />no additional cost as required by ARK. Code Ann. §11-9-409(D) and Rule 32. If you would like more <br />information, call The Hartford's Risk Engineering Department, One Hartford Plaza, T-7, Hartford, CT 06155 <br />at 1-866-586-0467. If you have any questions about this requirement, call the Health and Safety Division, <br />Arkansas Workers' Compensation Commission at 1-800-622-4472. <br />The Hartford is required by law to provide its policyholders with certain occupational safety and health risk <br />engineering consultation services as required by the California Labor Code, §6354.5, at no additional <br />charge. If you would like more information call The Hartford's Risk Engineering Department at 1-866-586- <br />0467 for occupational safety and health risk engineering consultation services. <br />California Workers Compensation insurance policyholders may register comments about the insurer's risk <br />engineering consultation service by writing to: <br />State of California <br />Department of Industrial Relations <br />Division of Occupational Safety and Health <br />P.O. Box 420603 <br />San Francisco, California 94142 <br />NOTICE TO PENNSYLVANIA POLICYHOLDERS <br />The Hartford maintains and provides accident and illness prevention services as required by the nature of <br />the policyholders business or its operation, in accordance with the Pennsylvania Workers' <br />Compensation Act. For more information about these services contact your Hartford Agent or nearest <br />office of The Hartford. <br />Form 97485 16th Rev. Printed in U.S.A. <br />Rime Management DMsian <br />REVIEWED&APPROVED BY: <br />' Fw� R. V:,d k <br />'� Risk Management Analyst <br />